Spinney Brook Medical Centre

SPINNEY BROOK and WOODFORD MEDICAL CENTRES

Patient Reference Group

The Practice will soon be launching an online Patient Reference Group (PRG). The aim of this Group will be to ensure that our patients are involved in decisions about the range and quality of services provided and (in the future) commissioned by Spinney Brook and Woodford Medical Centres as a member of a wider GP Commissioning Consortium.

Below are some frequently asked questions and answers about our PRG which we hope will inform you about our plans and encourage you to sign up.

Common Questions and Answers

Q What is a patient group/patient reference group?
A This is a group of volunteer patients who are involved in making sure the surgery provides the services its patients need.

Q Why are you asking people for their contact details?
A We would like to be able to contact people occasionally to ask them questions about the surgery and how well we are doing to identify areas for improvement.

Q Will my doctor see this information?
A This information is purely to contact patients to ask them questions about the surgery, how well we are doing and ensure changes that are being made are patient focused. If your doctor is responsible for making some of the changes in the surgery they might see general feedback from patients. Patient details will be anonymised

Q Will the questions you ask me be medical or personal?
A We will only ask general questions about the practice, such as short questionnaires.

Q Who else will be able to access my contact details?
A Your contact details will be kept safely and securely and will only be used for this purpose and will not be shared with anyone else.

Q How often will you contact me?
A Not very often… our aim is to have a ‘Topic of Discussion’ which will appear on our website every 2 months

Q What if I no longer wish to be on the contact list or I leave the surgery?
A We will ask you to let us know by email if you do not wish to receive further messages.

If you are interested in joining the online PRG please complete the sign-up form below.
We hope you join us and get involved in making your views on the Practice and local healthcare provision known.
If you are happy for us to contact you periodically by email, please complete and submit the following form.

Signing Up For Patient Reference Group

If you are happy for us to contact you periodically by email please fill out all the fields below and send the completed form to us.

Personal Details Title: Mr Mrs Miss Ms Other First Name(s): Surname: E-mail: Telephone: Postcode:   The information below will help to make sure that we receive feedback from   a representative sample of the patients registered at this practice. Your Gender Male Female Your Age Under 16 years 55 - 64 years 17 - 24 years 65 - 74 years 25 - 34 years 75 - 84 years 35 - 44 years over 84 years 45 - 54 years   The ethnic background with which you most closely identify is: White Mixed Other British White & Asian Chinese Irish White & Black African Other ethnic group Other Black background White & Black Caribbean     Other mixed background         Black or Black British Asian or Asian British   African Bangladeshi I do not wish to disclose Caribbean Indian   Other Black background Pakistani     Other Asian background     How would you describe how often you come to the Practice? Regularly Occasionally Very rarely

About This Form

Please note that we will not respond to any medical information or questions received through the survey.

The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 gives you the right to know what information is held about you, and sets out rules to make sure that this information is handled properly.

Please note that by using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of registration.

Personal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.